NPIMap

Organization Active NPI

Grace Excellency Care

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Union, NJ
National Provider Identifier
1902563182
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GRACE EXCELLENCY CARE
Practice address
303 Huguenot Ave
Union, NJ 07083-7508
Phone
(973) 313-1700
Fax
(973) 313-2300
NPI assigned
Nov 22, 2021
Organization subpart
Yes
Parent organization
GRACE EXCELLENCY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace Modupe Olagbegi
Title
Executive Director
Phone
(973) 313-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

303 Huguenot Ave
Union, NJ 07083-7508

Mailing address

2066 Millburn Ave Ste 102
Maplewood, NJ 07040-3722
Phone (973) 313-1700

National Provider Directory

National Provider Directory
Tax ID family
Grace Excellency Care4 organizations share this tax ID, including this one
Part of
Grace Excellency Care

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1902563182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 MILLBURN AVE STE 102",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403722",
            "telephone_number": "973-313-1700",
            "fax_number": "973-313-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HUGUENOT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837508",
            "telephone_number": "973-313-1700",
            "fax_number": "973-313-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE EXCELLENCY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE EXCELLENCY CARE",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "OLAGBEGI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MODUPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-313-1700"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.